Individual provider Active NPI

Lauren Zielinski, DPT

  • Physical Therapist
  • Norco, CA
National Provider Identifier
1811390974
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41743 Issued in CA
Practice address
2200 Hamner Ave Ste 107
Norco, CA 92860-2673
Phone
(951) 340-0431
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41743 CA Primary

Addresses

Primary practice location

2200 Hamner Ave Ste 107
Norco, CA 92860-2673

Mailing address

2200 Hamner Ave Ste 107
Norco, CA 92860-2673
Phone (951) 340-0431

Other practice location 1

21015 Pathfinder Rd Ste 100
Diamond Bar, CA 91765-4002
Phone (909) 861-3511 ext. 305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141219000069 CA Practitioner - Physical Therapist in Private Practice 3971826173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41743CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pomona Valley Orthopedic and Sports Physical Therapy, Inc Physical Therapist CurrentSince Nov 26, 2014 Accepting new patients
Leaps and Bounds Pediatric Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

21015 Pathfinder Rd
Ste 100
Diamond Bar, CA 91765
Phone (909) 861-3511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811390974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HAMNER AVE STE 107",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602673",
            "telephone_number": "951-340-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HAMNER AVE STE 107",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602673",
            "telephone_number": "951-340-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21015 Pathfinder Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917654002",
            "country_code": "US",
            "telephone_number": "909-861-3511 x305",
            "fax_number": "909-860-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.